山西朔州市财政局：加强医保基金监管 守好群众“看病钱”

Group 1 - The core viewpoint emphasizes the importance of strengthening medical insurance fund supervision and combating fraud to ensure sustainable operation of the fund and enhance public access to medical services [1] - The city of Shuozhou has implemented a monthly reconciliation mechanism between the finance and medical insurance agencies to monitor fund inflows and outflows through data comparison and dynamic analysis [1] - A dual regulatory model combining self-inspection and focused verification has been adopted to enhance the effectiveness of fund supervision, with local financial departments conducting thorough self-checks across 616 designated medical institutions [1] Group 2 - The management of medical insurance fund revenues and expenditures has been integrated into a performance management system, focusing on the effectiveness of fund usage and the coverage of benefits to the public [2] - A dual-track model of "key performance evaluation and dynamic process monitoring" has been introduced to assess compliance and effectiveness in fund usage, linking evaluation results to budget adjustments and policy optimization [2]